Start with public entitlement

A person receiving a qualifying state pension from an EU or EEA state, Switzerland or the UK may be entitled to an S1. Workers and qualifying dependants may have other routes.

Ask precise questions

Confirm the exact product’s entry age, renewal terms, underwriting, exclusions, local provider network and whether the cover is suitable for your intended residence route.

The convenio especial

This paid public route has no medical underwriting or upper age limit. The continuous residence, Spanish padrón and no-other-public-entitlement conditions must all be met. Residence in specified European countries or the UK can count towards the year. Real Decreto 576/2013 sets the national fee at €157 a month from age 65 and outpatient prescription medicines remain payable by the patient.

Private policy terms after 75

Entry age, renewal, underwriting and price differ by product. Renewing an existing policyholder is not the same as accepting a new applicant.

Limited cover

Hospital-only products may supplement public entitlement but should not be assumed comprehensive or suitable for residence evidence.

Prescription costs

The convenio especial provides basic care but no pharmaceutical benefit. Include regular medicines in the overall comparison.

Official sources used for this pageEuropean Union: standard social security forms Ministry of Health: convenio especial Real Decreto 576/2013

What to do next

Check pension-based or other public entitlement before asking whether a new private policy is available.